Registrars Rights

Security *

CHN No *

Registrar Account Number (RAN) *

Select Stockbroker *

Participation Type *

Layout

Layout (Fidson)

Layout IMG

Layout (Ellah Lakes Plc )

Layout (Presco)

Layout

Layout Fidson

Layout IMG

Layout (Ellah Lakes Plc )

Layout (Presco)

Layout

Layout Fidson

Layout IMG

Layout (Ellah Lakes Plc )

Layout (Presco )

Customer Type

Investor Details

Title *

Surname

First Name

Other Names

Layout

Email *

Phone *

Date of Birth *

Residential Address *

NIN *

TIN *

Mother's Maiden Name *

Layout

State *

Country *

Joint Applicant Details

Title *

Surname

First Name

Other Names

Occupation *

Mobile Number *

Email *

BVN *

Residential Address *

Next Of Kin *

Company Name

Type of Business

R/C No.

Address

Email *

Phone Number

Contact Person *

Bank Account Information

Account Name *

Account Number *

Bank Name

BVN *

Form Upload (kindly upload files max 3MB in size)

Form Upload *

Click or drag a file to this area to upload.

Evidence of Payment(1014109198 - Meristem Registrars Limited/Offer - Zenith Bank) *

Click or drag a file to this area to upload.